State of Tennessee State F & a Payroll
NPI #1104869486 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1104869486
- Entity Type
- Organization
- Organization Name
- State of Tennessee State F & a Payroll
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jun 14, 2006
- Last Updated
- Oct 14, 2014
Practice Location
- Address
- 100 MOCCASIN BEND RD
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37405-4415
- Phone
- (423) 785-3321
Authorized Official
- Name
- JASON CARTER
- Title
- CHIEF OF PHARMACY
- Phone
- (615) 532-6736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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